Several Southwest Virginia Counties Are Fairing Poorly When It Comes To Health Outcomes In The State. According To A County Health Rankings Report From The University Of Wisconsin Population Health Institute, The Data Points To Clinical Care, Food Insecurity And Alcohol And Drug Use. Buchanan County Ranked 123rd, Dickenson County 125th, Russell County 120th, Smyth County 115th, Tazewell County 117th And Wise 121st.